Pure Insanity...or Just A Show?
May 28, 2013 21:55:05 GMT -5
Post by shaunsindelman on May 28, 2013 21:55:05 GMT -5
PSYCHOLOGICAL EVALUATION: CONFIDENTIAL
Date: May 28, 2013
Client: Jonathan Renfield (aka "Johnny Blayze)
DOB: August 17
Gender: Male
Age: 25
Marital Status: Single
Place of Examination: New York Presbyterian
Presenting Problem
Jonathan is a 25-year-old heterosexual Caucasian male referred on behalf of [REDACTED]. Jonathan reports bouts of time missing from his life and feelings of paranoia and rage. He also states that he has recently remembered aspects of his life that he "had not dealt with for many years." These memories were usually followed by fits of paranoia and rage. His current symptoms are often juxtaposed by stressful situations, such as having challenges in front of him, or being in a situation in which "he has no control".
Jonathan describes himself as "someone who likes to be left alone," who would "rather do something than stand around discussing options or playing goody-two-shoes," and who has at times been censured for his temper and behavior, including recently "taking off when told I should talk to a head-shrinker." He noted that he was speaking with the interviewer under duress, and had agreed to do so to keep from being removed from his "plan in life".
Behavioral Observations
Jonathan arrived for his intake appointment several minutes late. He was somewhat dissolved and distant in demeanor with speaking with the interviewer. His affect [1] was slightly enraged, bordering at times on violent.
Family History
Jonathan states that his mother left when he was a child and his father was killed seven years ago in a car accident; this information has been confirmed through a background check. The client was close with his father and was with him moments prior to his death. He reports that he experienced feelings of horror and rage over this death and that it affected his professional life severely. Though Jonathan is able to recount what happened to him after that day (spending time in seclusion and taking several trips to Tokyo, Japan), he says these are repetitions of what he has been told; he has no memories for several months following the accident.
Jonathan reports that his memories of his parents, Sarah and Jim Renfield, are lukewarm at best, which is "why I've maintained a life of not trusting anyone". His memories following his dad's death were repressed until recently. At that time, with the help of video footage and on-line research, he was able to recover them. Prior to the recovery of these memories, he reports intrusive and distressing piece-meal recollections in response to particular stimuli, including stress. These recollections took the form of dreams, illusions [2], visual and auditory hallucinations, and dissociative flashbacks [3], and left him in a state of heightened arousal, indicated by a racing heart, panting, and sweating. His repeated attempts to avoid or push away the memories were futile.
Relationship History
Jonathan is not currently in a romantic or sexual relationship saying "those things don't matter in this life." He became angry when the interviewer asked him to speak further on this, and refused near-violently, saying "you keep it up and I won't be held accountable for what happens."
Occupational History
Jonathan is a member of Frontier Grappling Arts (also known as "FGA"), a regional independent professional wrestling company, and claims to be "the best guy they've got in the locker room". He reports that he enjoys the "adrenaline rush" of being in the ring and "it allows me to reach so many lost souls."
Medical History
Jonathan reports several past head injuries, followed by periods of unconsciousness lasting anywhere from "a few minutes" to "probably an hour." The most recent significant injury led to his most recent recollections. Jonathan reports that he did not have any of his current symptoms prior to that injury. He also states that he has not used recreational or illegal drugs, though he commented that he wouldn't tell the interviewer if he had. When assured that a full assessment of drug and alcohol history is necessary to rule out the influence of a substance, he reported that he drinks "rarely" and "drugs cloud my thoughts…plus I'm not good to be around when I'm paranoid." He noted that at times he resents not being able to live "a normal life like other people...being able to go about his business without being bothered by insipid fans," but rather one that requires him to constantly be alert of the media.
Documentation received from neurologist Jane Robinson suggests that symptoms cannot be fully explained by a medical condition. She and her colleagues are continuing their investigation, which has to date included an MRI, a CAT scan, and a PET scan. Though "negligible" remnants of bone have been found in the parietal and temporal lobes, they are, according to Dr. Robinson's report, "in associative areas [4], and should not affect speech, temperament, or functioning in any way other than the loss of information contained by the damaged neurological areas."
Summary and Differential Diagnostic Impressions
Given Jonathan's history of dissociative amnesia, derealization[5], and avoidant behavior, and his recent experiences with intrusive symptoms and hyperarousal, a preliminary diagnosis of PTSD is appropriate. Given the significant neurological and sensory impairments, as yet unexplained by a medical condition, a diagnosis of "Dissociative Personality Disorder" stemming from underlying frustration and residual trauma resulting from the death of his father many years ago may also be appropriate.
In addition, after reviewing information given to us by FGA regarding "Johnny Blayze" and his actions within their company as of late, it is our professional opinion that Jonathan continue working with a therapist to get in "tune" with his condition whenever it surfaces and to learn from it rather than fight it.
Footnotes
[1] Emotional presentation
[2] Misperceptions of real external stimuli -- as opposed to hallucinations, in which you see something that totally isn't there.
[3]Dissociation is when you split off from yourself in some way -- for example, derealization is a kind of dissociation.
[4] Associative areas are parts of the brain that do whatever specialized parts of the brain don't -- mostly, they hold memories.
[5] Derealization is feeling like things aren't real, like they're happening in a dream, or are otherwise strange -- sounds, time, and objects can be distorted.
Scene: Nondescript room. We see Johnny Blayze looking into a mirror. His reflection reveals a TV in the background but it's volume is low so that you don't really hear the sound coming from it. Blayze is wearing a red button up shirt with a black leather jacket and pair of black pants.
Blayze: Maybe now you're starting to see it. You've got anger inside of you. Maybe it's all-natural, or maybe something happened along the way and made it worse. Either way, it's in your nature to seek out enemies and destroy them.
He points at himself in the mirror and speaks emphatically.
Blayze: It's what you do. It's what you're good at. Some people play the piano,some race cars. You... you destroy enemies. And that's fine, there's nothing wrong with it. This world needs people like you and I wish we had more.
He pauses for a moment and stares at himself.
Blayze: But there's one thing you're lacking -- direction. Your violence... it needs to be channeled. Because if somebody's not authorizing enemies on your behalf, you know damn well you're going to go out and create some of your own, like an attack dog off its leash. And people... well they tend to sleep a lot better at night when rough folks stand ready to visit violence on those who would harm them.
He pauses again and the look on his face grows fierce as he continues to speak.
Blayze: You think what's happened so far is a one-off? Well, it isn't. Take a good hard look at the situation you're in because this... this is the beginning of the rest of your life.
He turns to the camera.
Blayze: Brandt….Caruthers…Van Dyke…Magna… are you prepared to fight this war? Do any of you truly have it inside your souls to face the dogs of war and get the job done?
I ask the same of my partners….Johnny Karma… Joey Perello…Michael Tomkins…Anton Chase…
Or is this bigger than you could ever imagine?
I'm no stranger to events such as this. I've seen the enemy at his best AND at his worst. And let me tell you ALL… there is not much of a difference. So you can walk into this match and pretend it's the biggest of your career… but it won't change a thing.
The only change can come from within. The question is -- are ANY of you willing to make the necessary sacrifices to see change through?
He ducks his head off-camera to grab something and place it upon his head. He comes back in to frame and we can now see Blayze's head and face are covered in a masked scowl.
Blayze: Life is a trap….June Eighth…I will set you free.
He walks out of frame and we now see the TV clearly. It's playing the FGA DVD from May Twenty-Fifth. The moment when Blayze is stabbing Xavier Daniels in the head over and over again plays in a non-stop loop. And fade to black.
Date: May 28, 2013
Client: Jonathan Renfield (aka "Johnny Blayze)
DOB: August 17
Gender: Male
Age: 25
Marital Status: Single
Place of Examination: New York Presbyterian
Presenting Problem
Jonathan is a 25-year-old heterosexual Caucasian male referred on behalf of [REDACTED]. Jonathan reports bouts of time missing from his life and feelings of paranoia and rage. He also states that he has recently remembered aspects of his life that he "had not dealt with for many years." These memories were usually followed by fits of paranoia and rage. His current symptoms are often juxtaposed by stressful situations, such as having challenges in front of him, or being in a situation in which "he has no control".
Jonathan describes himself as "someone who likes to be left alone," who would "rather do something than stand around discussing options or playing goody-two-shoes," and who has at times been censured for his temper and behavior, including recently "taking off when told I should talk to a head-shrinker." He noted that he was speaking with the interviewer under duress, and had agreed to do so to keep from being removed from his "plan in life".
Behavioral Observations
Jonathan arrived for his intake appointment several minutes late. He was somewhat dissolved and distant in demeanor with speaking with the interviewer. His affect [1] was slightly enraged, bordering at times on violent.
Family History
Jonathan states that his mother left when he was a child and his father was killed seven years ago in a car accident; this information has been confirmed through a background check. The client was close with his father and was with him moments prior to his death. He reports that he experienced feelings of horror and rage over this death and that it affected his professional life severely. Though Jonathan is able to recount what happened to him after that day (spending time in seclusion and taking several trips to Tokyo, Japan), he says these are repetitions of what he has been told; he has no memories for several months following the accident.
Jonathan reports that his memories of his parents, Sarah and Jim Renfield, are lukewarm at best, which is "why I've maintained a life of not trusting anyone". His memories following his dad's death were repressed until recently. At that time, with the help of video footage and on-line research, he was able to recover them. Prior to the recovery of these memories, he reports intrusive and distressing piece-meal recollections in response to particular stimuli, including stress. These recollections took the form of dreams, illusions [2], visual and auditory hallucinations, and dissociative flashbacks [3], and left him in a state of heightened arousal, indicated by a racing heart, panting, and sweating. His repeated attempts to avoid or push away the memories were futile.
Relationship History
Jonathan is not currently in a romantic or sexual relationship saying "those things don't matter in this life." He became angry when the interviewer asked him to speak further on this, and refused near-violently, saying "you keep it up and I won't be held accountable for what happens."
Occupational History
Jonathan is a member of Frontier Grappling Arts (also known as "FGA"), a regional independent professional wrestling company, and claims to be "the best guy they've got in the locker room". He reports that he enjoys the "adrenaline rush" of being in the ring and "it allows me to reach so many lost souls."
Medical History
Jonathan reports several past head injuries, followed by periods of unconsciousness lasting anywhere from "a few minutes" to "probably an hour." The most recent significant injury led to his most recent recollections. Jonathan reports that he did not have any of his current symptoms prior to that injury. He also states that he has not used recreational or illegal drugs, though he commented that he wouldn't tell the interviewer if he had. When assured that a full assessment of drug and alcohol history is necessary to rule out the influence of a substance, he reported that he drinks "rarely" and "drugs cloud my thoughts…plus I'm not good to be around when I'm paranoid." He noted that at times he resents not being able to live "a normal life like other people...being able to go about his business without being bothered by insipid fans," but rather one that requires him to constantly be alert of the media.
Documentation received from neurologist Jane Robinson suggests that symptoms cannot be fully explained by a medical condition. She and her colleagues are continuing their investigation, which has to date included an MRI, a CAT scan, and a PET scan. Though "negligible" remnants of bone have been found in the parietal and temporal lobes, they are, according to Dr. Robinson's report, "in associative areas [4], and should not affect speech, temperament, or functioning in any way other than the loss of information contained by the damaged neurological areas."
Summary and Differential Diagnostic Impressions
Given Jonathan's history of dissociative amnesia, derealization[5], and avoidant behavior, and his recent experiences with intrusive symptoms and hyperarousal, a preliminary diagnosis of PTSD is appropriate. Given the significant neurological and sensory impairments, as yet unexplained by a medical condition, a diagnosis of "Dissociative Personality Disorder" stemming from underlying frustration and residual trauma resulting from the death of his father many years ago may also be appropriate.
In addition, after reviewing information given to us by FGA regarding "Johnny Blayze" and his actions within their company as of late, it is our professional opinion that Jonathan continue working with a therapist to get in "tune" with his condition whenever it surfaces and to learn from it rather than fight it.
Footnotes
[1] Emotional presentation
[2] Misperceptions of real external stimuli -- as opposed to hallucinations, in which you see something that totally isn't there.
[3]Dissociation is when you split off from yourself in some way -- for example, derealization is a kind of dissociation.
[4] Associative areas are parts of the brain that do whatever specialized parts of the brain don't -- mostly, they hold memories.
[5] Derealization is feeling like things aren't real, like they're happening in a dream, or are otherwise strange -- sounds, time, and objects can be distorted.
Scene: Nondescript room. We see Johnny Blayze looking into a mirror. His reflection reveals a TV in the background but it's volume is low so that you don't really hear the sound coming from it. Blayze is wearing a red button up shirt with a black leather jacket and pair of black pants.
Blayze: Maybe now you're starting to see it. You've got anger inside of you. Maybe it's all-natural, or maybe something happened along the way and made it worse. Either way, it's in your nature to seek out enemies and destroy them.
He points at himself in the mirror and speaks emphatically.
Blayze: It's what you do. It's what you're good at. Some people play the piano,some race cars. You... you destroy enemies. And that's fine, there's nothing wrong with it. This world needs people like you and I wish we had more.
He pauses for a moment and stares at himself.
Blayze: But there's one thing you're lacking -- direction. Your violence... it needs to be channeled. Because if somebody's not authorizing enemies on your behalf, you know damn well you're going to go out and create some of your own, like an attack dog off its leash. And people... well they tend to sleep a lot better at night when rough folks stand ready to visit violence on those who would harm them.
He pauses again and the look on his face grows fierce as he continues to speak.
Blayze: You think what's happened so far is a one-off? Well, it isn't. Take a good hard look at the situation you're in because this... this is the beginning of the rest of your life.
He turns to the camera.
Blayze: Brandt….Caruthers…Van Dyke…Magna… are you prepared to fight this war? Do any of you truly have it inside your souls to face the dogs of war and get the job done?
I ask the same of my partners….Johnny Karma… Joey Perello…Michael Tomkins…Anton Chase…
Or is this bigger than you could ever imagine?
I'm no stranger to events such as this. I've seen the enemy at his best AND at his worst. And let me tell you ALL… there is not much of a difference. So you can walk into this match and pretend it's the biggest of your career… but it won't change a thing.
The only change can come from within. The question is -- are ANY of you willing to make the necessary sacrifices to see change through?
He ducks his head off-camera to grab something and place it upon his head. He comes back in to frame and we can now see Blayze's head and face are covered in a masked scowl.
Blayze: Life is a trap….June Eighth…I will set you free.
He walks out of frame and we now see the TV clearly. It's playing the FGA DVD from May Twenty-Fifth. The moment when Blayze is stabbing Xavier Daniels in the head over and over again plays in a non-stop loop. And fade to black.
